Individual
MRS. SHANNA LEA POGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4330 S 144TH ST, OMAHA, NE 68137-1051
(402) 614-4000
(402) 885-6897
Mailing address
19156 W ST, OMAHA, NE 68135-4298
(402) 203-7743
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
NE151
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NE151
—
NE
Enumeration date
06/12/2019
Last updated
06/12/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us